6+ Return to Work Note Samples

There might be medical conditions that could limit your ability to perform your daily work tasks. Sometimes, you might even be advised by your doctor to take some time to rest and recover. Your doctor will probably issue a note in order to let your employer know that you are not well enough to perform your job (see Sample Doctor Notes).

Related:

By the time you have recovered, your doctor will also issue or fill out a form that will establish whether you are ready to go back to work already or otherwise. Listed below are some samples of these notes. You are free to check out all of these.

Return to Work Note Format

Choices on whether the employee can go back to work with/without limitations.

Boxes that will serve as choices in case the patient has limitations.

Physician’s signature

Employee’s signature

Mainly, this note will talk more about what the needs of the patient are and the reason why he/she has been unable to go to work. Some companies may be strict when it comes to these forms that if an employee is unable to present one upon returning to work, he/she is sent home. This is usually submitted to the company HR.

Benefits of Having a Return to Work Note

Doctors or the company itself will be the ones to provide these notes to the employees. Being able to present one to your company will be great to ensure that all of your leaves and absences are duly documented. It will also help out in establishing whether your reason for being absent can be considered as a leave that can be paid.

Printable Return to Work Note

Sample Return to Work Note

Tips in Writing a Return to Work Note

It is always a good idea to put the welfare of your patients and employees first. Being able to provide them a note as simple as a return to work note already lets them know that they are being taken cared of properly.

Before you start making one, it will be a great idea to refer to some of the samples that we have for you. It might be overwhelming to find a good match for the needs of your employee.

Your top concern is to be able to find a sample that would be easy to edit, customize, and print. This is achievable with the help of the sample return to work notes that we have. These samples come in PDF and Word Document format, which are very easy to download and used as reference. With regards to downloading, there’s no need for you to shell out some cash as these are offered for free. This means you can download as many samples as you want to use as reference without the worry of burning a hole in your pocket.